Individual
POLINA KODESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4495 HALE PKWY STE 110, DENVER, CO 80220-6203
(970) 556-8681
Mailing address
4495 HALE PKWY STE 110, DENVER, CO 80220-6203
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY0004841
CO
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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